Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CY FAIR PEDIATRICS PA

NPI: 1811265770 · HOUSTON, TX 77065 · Clinic/Center · NPI assigned 12/07/2011

$13K
Total Medicaid Paid
300
Total Claims
249
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialDOAN, JANIE (PEDIATRIC PHYSICIAN)
NPI Enumeration Date12/07/2011

Related Entities

Other providers sharing the same authorized official: DOAN, JANIE

ProviderCityStateTotal Paid
KIDS FIRST URGENT CARE PLLC HOUSTON TX $6.36M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 300 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 62 62 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 95 81 $4K
99381 40 40 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17 15 $880.60
90460 Immunization administration through 18 years of age via any route, first or only component 44 12 $344.96
96110 Developmental screening, with scoring and documentation, per standardized instrument 29 27 $219.82
90461 13 12 $87.23